24.159.1011 PROHIBITED INTRAVENOUS (IV) THERAPIES
(1) The practical nurse may not perform any of the following IV therapy procedures:
(a) initiate blood, blood components, and plasma volume expanders;
(b) access or program an implanted IV infusion pump;
(c) insert or remove any IV access device placed for central or midline administration;
(d) manage central venous access devices for hemodynamic monitoring;
(e) perform repair of central or midline venous access devices; or
(f) perform arterial sticks, arterial blood draws, or arterial inline flushes.
(2) The practical nurse may not administer the following IV medications or IV fluids:
(b) neonatal and pediatric medications;
(c) antineoplastic and chemotherapy drugs;
(d) investigational and experimental drugs;
(e) colloid therapy;
(f) hyperosmolar solutions not appropriate for peripheral venous infusion;
(g) thrombolytic or fibrinolytic agents;
(h) tissue plasminogen activators, or immunoglobulins;
(i) medications for purposes of procedural sedation, moderate sedation, or anesthesia;
(j) medications requiring titration;
(k) medications or fluids via an epidural, intrathecal, intraosseous, umbilical route, or ventricular reservoir; or
(l) medications or fluids via an arteriovenous fistula or graft, except for dialysis per ARM 24.159.1010.
History: 37-1-131, 37-8-202, MCA; IMP, 37-1-131, 37-8-202, MCA; NEW, 1997 MAR p. 1176, Eff. 4/8/97; AMD, 1999 MAR p. 2437, Eff. 10/22/99; AMD, 2000 MAR p. 954, Eff. 4/14/00; AMD, 2002 MAR p. 3149, Eff. 11/15/02; TRANS, from Commerce, & AMD, 2006 MAR p. 2035, Eff. 8/25/06; AMD, 2008 MAR p. 1709, Eff. 8/15/08; AMD, 2011 MAR p. 2144, Eff. 10/14/11; AMD, 2021 MAR p. 991, Eff. 8/7/21.